Individual provider Active NPI

Robert Peter Kupsc, O.D.

  • Optometrist
  • Brockton, MA
National Provider Identifier
1780724187
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3152 Issued in MA
Practice address
21 Torrey St Ste 10
Brockton, MA 02301-4849
Phone
(508) 587-0012
Fax
(508) 587-0112
NPI assigned
Feb 7, 2007
Last updated
Jan 23, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3152 MA Primary

Addresses

Primary practice location

21 Torrey St Ste 10
Brockton, MA 02301-4849

Mailing address

119 Piermont St
Quincy, MA 02170-2517
Phone (617) 770-2832

Other identifiers 1

IdentifierTypeStateIssuer
0717959MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080417000321 MA Practitioner - Optometry 4587742481 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Eye LLCGroup PAC ID 5496163545, 10 clinicians

Practice addresses (Care Compare)

21 Torrey St
Suite 21a
Brockton, MA 02301-4849
Phone (508) 587-8344

Merit-based Incentive Payment System (MIPS)

Final score
87.57 of 100Reported as group
Quality
82.46
Promoting interoperability
100
Improvement activities
40
Cost
76.1

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
3152MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Health Associates Inc CurrentSince Jun 1, 2024 Accepting new patients
Mass Optometric Associates, PLLC Optometrist CurrentSince Jul 1, 2019 Accepting new patients
Mass Optometric Associates, PLLC Optometrist CurrentSince Jul 1, 2019 Accepting new patients
Eye Health Associates Inc Optometrist CurrentSince Jun 1, 2024 Accepting new patients
Clear Vision Eye Center,Inc CurrentSince Aug 1, 2015 Accepting new patients
Hero Vision of Brockton, PC Optometrist Past Accepting new patients

Locations

700 Boston Rd
Billerica, MA 01821
Phone (978) 667-0481

70 Huttleston Ave
Fairhaven, MA 02719
Phone (508) 994-2020

51 State Rd
North Dartmouth, MA 02747
Phone (508) 994-1400

3 Woodland Rd
Ste 120
Stoneham, MA 02180
Phone (781) 979-0960

149 University Ave
Westwood, MA 02090
Phone (781) 326-2051

Interoperability endpoints

  • Direct secure messaging: robert.kupsc.p1@direct.bostoneyegroup.nextgenshare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232668800000",
    "number": "1780724187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 PIERMONT ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021702517",
            "telephone_number": "617-770-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 TORREY ST STE 10",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023014849",
            "telephone_number": "508-587-0012",
            "fax_number": "508-587-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPSC",
        "first_name": "ROBERT",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2009-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0717959",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.